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PRE- INTENSIVE EXAMINATION NURSING PRACTICE I COMMUNITY HEALTH NURSING MAY 2025 Philippine Nurse Licensure Examination Review GENERAL INSTRUCTIONS: 1. This test questionnaire contains 100 test questions 2. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded will invalid your answer. 3. AVOID ERASURES. 4. Detach one (1) answer sheet from the bottom of your Examinee ID/Answer Sheet Set. 5. Write the subject title “NURSING PRACTICE I” on the box provided Situation: The use of massage and meditation to help decrease stress and pain have been strongly recommended based on documented testimonials. 1. Georgina wants to perform a study on this topic entitled: “Effects of massage and meditation on stress and pain.” The type of research that best suits this topic is: A. Quantitative research B. Qualitative research C. Applied research D. Basic research 2. The type of research that does not manipulate the independent variable is: * A. Non-experimental design B. Experimental design C. Quasi-experimental design D. Quantitative design 3. This research topic has the potential to contribute to nursing because it seeks to: * A. Include new modalities of care B. Enhance client care C. Resolve a clinical problem D. Clarify an ambiguous modality of care 4. Georgina does review of related literature for the purpose of: * A. Determining statistical treatment of data research B. Answering the research question C. Gathering data about what is already known or unknown about the problem D. Identifying if the problem can be replicated 5. Clients’ rights should be protected when doing research using human subjects. Georgina identifies the rights as follows except: A. Right to self-determination B. Right not to be harmed C. Right to privacy D. Right to compensation Situation: Nursing is a profession. Miss Daez is a newly appointed nurse in a hospital in Manila. Born July, 1993, her Knowledge of nursing profession development is required in order to project the profession in a way that it uplifts the standard of nursing. 6. Miss Daez defined nursing as the following except: * A. Establishing nursing diagnosis and implementing nursing care B. Assisting individual, family, and community in attaining health C. Diagnosing, treating, prescribing medication and doing minor surgery D. Assisting in basic health needs 7. PNA was established: 1. In 1922 2. In 1926 3. With Mrs. Rosario Delgado as the first president 4. With Mrs. Anastacia Tupas as the first president A. 1 and 3 B. 1 and 4 C. 2 and 3 D. 2 and 4 8. As a national nurses’ association, PNA is characterized by the following, except: * A. Advocating improved work and life condition of nurses B. Both a professional body and labor union C. Affiliated with the International Council of Nurses D. Accrediting body for continuing education program 9. CPE units per year are needed for license renewal. The number of CPE units in 3 years should be: A. 20 units B. 60 units C. 30 units D. 100 units 10. To manifest that you want to quit from your job and discontinue the services you render after the completion of a contract, you will file a/an: A. Certificate of resignation B. Resignation letter C. Honorable dismissal D. Certificate of termination 11. Lenny plans to resign from her job as a staff nurse. She must give an advance notice of: A. 15 days B. 30 days C. 45 days D. 60 days 12. If a nurse filed a sick leave and plans to return to work after, she must show her: * A. Back to work certificate B. Medical certificate C. Fit to work certificate D. Death certificate 13. A certificate that will show that a nurse met the requirement set by the Philippine Government to practice the profession is: A. Board certificate/CoR B. Diploma C. Certificate of passing D. Nursing License 14. Nurses in the Philippine Government also felt the need to organize themselves, this led to the creation of: A. National League of Government Nurses B. National League of Filipino Government Nurses C. Philippine Government Nurses Association D. National League of Philippine Government Nurses 15. The founder of NLPGN, during her lifetime, exemplified professional dignity, high level of intelligence and leadership ability, as well as moral integrity. She was a good model, who, like Florence Nightingale, initiated reforms and worked for the improvement of the nursing profession and health care in the Philippines. The name of the NLPGN Recognition award was also named after her. A. Annie Sand B. Anastacia Giron Tupas 1 | Page
C. Francisca Delgado D. Betty Meritt Situation: You are a nurse conducting a statistical analysis in your research entitled “The Effect of Gingko Biloba in Enhancing Memory and Retention Among 4th Year High School Students.” 16. What is the independent variable? * A. Gingko biloba D. Enhancing memory and retention C. Memory and retention D. The effect of gingko biloba 17. What is the dependent variable? * A. The effect of gingko biloba B. Memory and retention C. Gingko biloba D. Enhancing memory and retention 18. The research design best used in this research is: A. Non-experimental B. Descriptive C. Experimental D. Qualitative 19. The hypothesis developed was: Gingko biloba improves memory and retention. This is an example of: A. Complex, directional B. Complex, non-directional C. Simple, non-directional D. Simple, directional 20. Gingko biloba has an effect on memory and retention best describes which type of hypothesis? A. Complex, directional B. Complex, non-directional C. Simple, directional D. Simple, non-directional 21. Which of the following is the best null hypothesis (H0) for this study? * A. Gingko biloba has an effect on enhancing memory and retention B. Gingko biloba has no effect on enhancing memory and retention C. Gingko biloba has an effect on enhancing memory and retention of 4th year high school students D. Gingko biloba has no effect on enhancing memory and retention of 4th year high school students 22. Which of the following best represents the alternative hypothesis (Ha) for this study? * A. Gingko biloba has no effect on enhancing memory and retention of 4th year high school students B. Gingko biloba has an effect on enhancing memory and retention C. Gingko biloba has no effect on enhancing memory and retention D. Gingko biloba has an effect on enhancing memory and retention of 4th year high school students 23. Which of the following is the average P value as threshold to determine the plausibility of the null hypothesis? A. P=0.01 B. P=0.001 C. P=0.5 D. P=0.05 24. If the study is statistically highly significant, it would reflect a p value of? * A. p=0.01 B. p=0.001 C. p=0.5 D. p=0.05 25. Supposed that your alternative hypothesis has a 1 in a hundred chance of accepting the null hypothesis, has a 99% chance of being correct, and has a 1 in a hundred chance that the null hypothesis is true. Your P value will be? A. P=0.001 B. P=0.5 C. P=0.01 D. P=0.99 Situation: Ven has a nursing diagnosis of ineffective airway clearance related to excessive secretions and is at risk for infection because of retained secretions. Part of Nurse Penny’s care plan is to loosen and remove secretions in the airway. 26. Penny listens to Ven’s bilateral sounds and finds that congestion is in the upper lobes of the lungs. The appropriate position to drain the anterior and posterior apical segments of the lungs when Penny does percussion would be: A. Client lying on his back and then flat on his abdomen on Trendelenburg position B. Client lying on his right the left side on Trendelenburg position C. Client lying flat on his back and the flat on his abdomen D. Client seated upright in bed or on a chair then leaning forward in sitting position then flat on his back and on his abdomen 27. When documenting outcome of Ven’s treatment, Penny should include the following on her recording except: A. Amount of fluid intake of client before and after the procedure B. Color, amount, and consistency of sputum C. Character of breath sounds and respiratory rate before and after the procedure D. Significant changes in vital signs 28. When assessing Ven for chest percussion or chest vibration, and postural drainage, Penny would focus on the following except: A. Teaching the client’s relatives to perform the procedure B. Amount of food and fluid taken during the last meal before treatment C. Respiratory rate, breath sounds, and location of congestion D. Doctor’s order regarding position restrictions and client’s tolerance for lying flat 29. Penny prepares Ven for postural drainage and percussion. Which of the following is a special consideration when doing the procedure? A. Respiratory rate of 16 to 20 per minute B. Client able to tolerate sitting and lying position C. Time of last food and fluid intake of the client D. Client has no signs of infection 30. The purpose of chest percussion and vibration is to loosen secretions in the lungs. The difference between the procedures is: A. Percussion uses only one hand while vibration uses both hands B. In both percussion and vibration, the hands are on top of each other and hand action is in tune with client’s breath rhythm C. Percussion delivers cushioned blows to the chest with cupped palms while vibration gently shakes secretions loose on the exhalation cycle D. Percussion slaps the chest to loosen secretions while vibration shakes the secretions along with the inhalation of air Situation: Benito is an elderly client who is immobile and sedentary. 31. Benito is frequently complaining of dry skin. Which of the following is the best way to prevent dry skin? A. Wash the skin with mild soap and water B. Avoid exposure to cold or low humidity C. Apply lotion or skin moisturizer D. Massage the skin gently to stimulate oil production from the sebaceous glands 32. Which of the following is a frequently used dressing for pressure sores? * A. Transparent B. Wet to moist C. Hydrogel D. Wet to dry 33. Heat is an old remedy for aches and pain. People equate heat with comfort and relief because: A. It is safer than cold application B. It causes a local anesthetic effect C. Slows bacterial growth D. It promotes blood circulation and tissue oxygenation through vasodilation 34. Heat and cold application should not exceed: * A. 1 hour B. 10 minutes C. 30 minutes D. 15 minutes 2 | Page
35. A client with deep wounds underwent Hydrocolloid dressing. Which of the following is true with regards to this dressing? A. They provide good wound visibility B. They could last indefinitely until the wound heals C. The client could not shower or bath with such dressing D. They can be molded to uneven skin surfaces thus best used in pressure ulcers Situation: Survey and Statistics are important parts of research that is necessary to explain the characteristics of the population. 36. All but one of the following is not a measure of central tendency. * A. Range B. Variable C. Standard deviation D. Mode 37. It reflects the most frequent value that appears in the set data. * A. Mode B. Mean C. Ratio D. Median 38. In the values: 87, 85, 88, 92, 90, the mean is: A. 87 B. 90 C. 88.4 D. 88.2 39. In the values: 80, 80, 80, 82, 82, 90, 90, 100, the mode is: A. 90 B. 85.5 C. 80 D. 82 40. In the values: 80, 80, 10, 10, 25, 65, 100, 200, the median is: A. 72.5 B. 71.25 C. 22.5 D. 10 and 25 Situation: Health promotion is the priority nursing responsibility. The nurse should be able to promote the client’s well-being and identify ways on improving the client’s quality of life. 41. The nurse is caring for a 16-year old female client who isn’t sexually active. The client asks if she needs a Papanicolau test. The nurse should reply: A. Yes, because she’s 16 years old B. No, because she isn’t sexually active C. Yes, she should have a Pap smear after the onset of menstruation D. No, because she is not yet 21 years old 42. The nurse is assessing a client who complains of abdominal pain, nausea, and diarrhea. When examining the client’s abdomen, which sequence should the nurse use? A. Auscultation, inspection, palpation, percussion B. Palpation, auscultation, percussion, inspection C. Inspection, auscultation, percussion, palpation D. Inspection, palpation, percussion, auscultation 43. The nurse is speaking to a group of women about early detection of breast cancer.The average age of women in the group is 45. Following the Philippine Cancer Society guidelines, the nurse should recommend that the women should: A. Have a physician conduct a clinical examination every 2 years B. Have a mammogram annually C. Perform a breast self-examination annually D. Have a hormonal receptor assay annually 44. The school nurse is planning a program for a group of teenagers on skin cancer prevention. Which of the following instruction should the nurse emphasize on her talk? A. Examine skin once per month, looking for suspicious lesions or changes in moles B. Tanning booth is a safe alternative for those who wish to tan C. Stay out of the sun between 1 pm and 3 pm D. Sun exposure is safe, provided the client wears a protective clothing 45. An employer establishes a physical exercise area in the workplace, and encourages all employees to use it. This is an example of which level of prevention? A. Passive prevention B. Tertiary prevention C. Secondary prevention D. Primary prevention Situation: Mr. Reyes, 70 years old, was suddenly rushed to the hospital because of severe chest pain. On admission, he was diagnosed to have an acute myocardial infarction and was placed in the ICU. 46. While he is in the ICU, he executes a document that lists the medical treatments he chooses to refuse in case his condition becomes severe to a point that he will be unable to make decisions for himself. The document is: A. Last will and testament B. Living will C. Informed consent D. Power of attorney 47. After one day, the patient’s condition worsened and he felt hopeless. He requested the nurse to remove the oxygen. The nurse should: A. Refuse the patient and encourage him to verbalize his feelings B. Refuse the patient since euthanasia is not accepted in the Philippines C. Follow the patient as it is his right to determine the medical regimen he needs D. Follow the patient because it is his right to die gracefully 48. Euthanasia is an ethical dilemma which confronts nurses in the ICU because: * A. Decisions has to be made based on societal norms B. Decisions has to be made quickly, often under stressful situations C. The choices involved do not appear to be clearly right or wrong D. A client’s legal rights co-exist with the nurse’s professional obligation 49. The personal conviction that euthanasia is absolutely wrong in any situation is: * A. Legal obligation B. Personal value C. Immoral belief D. Ethical issue 50. Mr. Reyes felt better after 3 days but recognized the severity of his illness. He executed a document authorizing his wife to transact any form of business in his behalf in addition to all decisions relative to his confinement. This document is referred to as: A. Living will B. Power of attorney C. Informed consent D. Medical record Situation: As a peri-operative nurse, you are aware of the correct processing methods for preparing disinfection. 51. As an OR nurse, what is your foremost consideration for selecting chemical agents for disinfection? A. Duration of disinfectant and efficiency B. Material compatibility and efficiency C. Cost and duration of disinfectant process D. Odor and availability 52. Before you use an instrument disinfectant, it is essential that you: * A. Rinse with sterile water B. Dry the instrument thoroughly C. Wrap the instrument with sterile cloth D. Rinse with tap water followed by alcohol 53. You have a critical heat labile instrument to sterilize and are considering using high level disinfectant. What should you do? A. Double the amount of high level disinfectant B. Cover the soaking vessel to contain the vapor C. Prolong the exposure time according to manufacturer’s direction D. Test the potency of the high level disinfectant 54. To achieve sterilization using disinfectant, which of the following is used? * A. High level disinfectant immersion for 1 hour 3 | Page
B. Low level disinfectant immersion for 24 hours C. Intermediate level disinfectant immersion for 12 hours D. High level disinfectant immersion for 10 hours 55. Bronchoscope, thermometer, endoscope, ET tube, cystoscope, are all best sterilized using which of the following? A. Flash sterilizer at 1320C in 3 minutes B. Autoclaving at 1210C in 15 minutes C. 2% Glutaraldehyde immersion for 30 minutes D. Ethylene oxide gas aeration for 20 hours Situation: Nursing as a profession. The nurse should have a background on the theories and foundation of nursing as it has influenced what nursing is today. 56. Nursing is the protection and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response and advocacy in the care of the individuals, families, communities and the population. This is the most accepted definition of nursing as defined by: A. Virginia Henderson B. PNA C. ANA D. Florence Nightingale 57. Advancement in nursing leads to the development of the expanded career roles. Which of the following is not an expanded career role for nurses? A. Nurse practitioner B. Nurse anesthesiologist C. Clinical nurse specialist D. Nurse researcher 58. The board of nursing regulated the nursing profession in the Philippines and is responsible for the maintenance of the quality of nursing in the country. Powers and duties of the board of nursing are the following, except: A. Open and close college of nursing B. Supervise and regulate the practice of nursing C. Issue, suspend, revoke certificates or registration D. Issue subpoena, decus tecum, ad testificandum 59. A nursing student or a beginning staff nurse who has not yet experienced enough real situations to make judgments about them is in what stage of nursing expertise? A. Newbie B. Advanced beginner C. Competent D. Novice 60. Benner’s “proficient” nurse level is different from the other levels in nursing expertise in the context of having: A. Intuitive and analytic ability in new situations B. A holistic understanding and perception of the client C. Attained an advanced level of education D.The ability to organize and plan activities Situation: A client was rushed to the Emergency Room and you are his attending nurse. You are assessing the vital signs. 61. After a few hours in the emergency room, the client is admitted to the ward with an order of hourly monitoring of BP. The nurse finds that the cuff is too narrow and this will cause the BP reading to be: A. Low systolic and high diastolic B. Inconsistent C. Lower than what the reading should be D. Higher than what the reading should be 62. You attached a pulse oximeter to the client. You know that the purpose of this is to: * A. Check level of client’s tissue perfusion B. Determine if the client’s hemoglobin level is low and if he needs blood transfusion C. Detect oxygen saturation of arterial blood before symptoms of hypoxemia develops D. Measure the efficacy of the client’s antihypertensive medications 63. Through the client’s health history, you found out that the patient smokes and drinks coffee. When taking the BP of a client who recently smoked or drank coffee, how long should the nurse wait before taking the client’s BP for accurate reading? A. 1 hour B. 30 minutes C. 15 minutes D. 5 minutes 64. While the pulse oximeter is on the client’s fingertip, you notice that the sunlight is shining on the area where the oximeter is. Your action will be to: A. Do nothing since there are no identified problems B. Turn on and set the alarm of the oximeter C. Change the location of the sensor every four hours D. Cover the fingertip sensor with a towel or bed sheet 65. You are to assess the temperature of the client the next morning and found out that he ate ice cream. How many minutes should you wait before assessing the client’s oral temperature? A. 30 minutes B. 20 minutes C. 15 minutes D. 10 minutes Situation: Ensuring safety before, during, and after a diagnostic procedure is an important responsibility of the nurse. 66. To help Saul better tolerate the bronchoscope, you should instruct him to practice which of the following prior to the procedure? A. Holding his breath periodically for 30 seconds B. Tensing the shoulder muscles while lying on his back C. Breathing in and out through the nose with his mouth open D. Clenching the fist every 2 minutes 67. Thoracentesis may be performed for cytologic studies of the pleural fluid. As a nurse, your most important function during the procedure is to: A. Keep the sterile equipment from contamination B. Observe the patient’s vital signs C. Assist the physician D. Open and close the three-way stopcock 68. How will you prevent ascending infection to Lara who has an indwelling catheter? * A. Change the catheter every 8 hours B. See to it that the drainage tubing touches the level of the urine C. Clean catheter is used since urethral meatus is not a sterile area D. See to it that urine is draining freely 69. A patient’s blood test results reveal a hematocrit level of 66 mg/dL. The nurse should give priority to which nursing diagnosis? A. Activity intolerance B. Ineffective breathing pattern C. Dysreflexia D. Hyperthermia 70. A client’s admission urinalysis shows the specific gravity value of 1.039. Which of the following assessment data would the nurse expect to find when assessing the client? A. Poor skin turgor B. Urinary frequency C. Moist mucous membranes D. Increased blood pressure Situation: The nurse has been asked to administer an injection. 71. The nurse prepares an IM injection for an adult client using the Z track technique. 4mL of medication is to be administered to the client. Which of the following sites will you choose? A. Ventrogluteal B. Rectus femoris C. Vastus lateralis D. Deltoid 72. In infants 1 year and below, which of the following is the site of choice for intramuscular injection? A. Vastus lateralis B. Deltoid C. Ventrogluteal D. Rectus femoris 73. Mrs. Romualdez is obese. When administering subcutaneous injection to an obese patient, it is best for the nurse to: A. Pinch skin at the injection site and use airlock technique B. Inject needle at 15 degree angle over the stretched skin of the client 4 | Page